Peterson, Jacob Aaron

Peterson, Jacob Aaron is an individual health care provider with primary practice located at 434 N Star Rd , Holmen WI 54636-4402. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Peterson, Jacob Aaron can be contacted via phone (608) 526-3343.

Contact Information

Primary practice address
434 N Star Rd Holmen WI 54636-4402
Phone: (608) 526-3343
Fax: (608) 526-9366
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4137-012 Wisconsin

Profile Details

NPI number 1871515593
LBN Legal business name Peterson, Jacob Aaron
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jul 11th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871515593 NPPES
Wisconsin Other P00600196 MEDICARE RAILROAD
Wisconsin MEDICAID 38961300 MEDICARE RAILROAD

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